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Nursing Kelly VitalSim™

Directions for Use

Table of Contents Laerdal Recommends 5 Items Included 6 Skills Taught 7 Teeth 8 Carotid Pulse 8 Tracheostomy Plug & Care 8 NG Tube Placement 9 Intubation 9 Chest 9 Lungs 9 Stomach Reservoir 9 Belly Plates 10 Injection Pads 10 Waist, Knee and Ankle Joints 11

Arms 11 Legs 12 IV Arm 12 Replacing Skin & Vein System 13 Blood Pressure Arm 15 Auscultation of Heart, Breath and Bowel Sounds 16

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Genitalia 17 Colon Reservoir 19 Urinary Catheterization and Enema Simulation 19 Troubleshooting 20 VitalSim 20 Care and Maintenance 21 Warranty 21 Replacement Parts 23

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Nursing Kelly VitalSim™ is a full-body, lifelike vinyl manikin designed to teach all skills from basic patient handling to advanced nursing, including the measurement of noninvasive blood pressure and the auscultation and recognition of normal and abnormal heart, lung and bowel sounds. The manufacturing quality of this simulator should provide many sessions of training when reasonable care and maintenance are practiced.

Laerdal Recommends:

IV Injections – 20 gauge needle, or smaller Tracheostomy Tube – Size 6 NG Tube – Size 16 French Endotracheal Tube – 7.5 or smaller Laryngoscope Blade - Size #2 or #3, straight or curved blade Urethral Catheter – 16 French Enema Simulation – 7 mm

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Items Included: (1) Full-Body Manikin with Heart, Breath & Bowel

Sounds (1) VitalSim™ (w/ 300-00001) (1) Articulating Blood Pressure Training Arm with BP

Trainer (1) Articulating Multi-Venous IV Training Arm (1) Set of Wound Assessment and Care Modules (1) Hospital Gown (1) Male Genitalia (1) Female Genitalia (3) Urinary Valves (3) Anal Valves (1) 10 foot Manikin Connector Cable (1) Simulated Blood Concentrate (1) Manikin Lubricant Spray (1) Assembly Tool Kit

Wound Assessment & Care

(1) Lacerated Hand with Forearm Surgical Incision and Painted Sutures

(1) Chest Surgical Incision Module (1) Abdominal Packing Module (1) Abdominal Incision Module with Painted Sutures (1) Abdominal Incision Modules with Penrose drain

Staples and Nylon Sutures (One each) (1) Abdominal Subcutaneous Heparin and Insulin Injection Module (1) Thigh Packing and Irrigation Module (1) Thigh Suture Module with Nylon Sutures (1) Thigh Debridement Module (1) Infected Colostomy Stoma (1) Gluteal and Ventro-Gluteal Decubitus Ulcer

Modules (One each) (1) Below Knee Amputation Stump (1) Below Elbow Amputation Stump (1) Diabetic Foot with Gangrenous Toes and Heel

Decubitus ulcer (1) Varicose Vein Leg with Stasis Ulcer

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Skills Taught: • Basic patient handling • Denture care • Oral hygiene • Oral and nasal Intubation • Eye and ear irrigation (simulated) • NG Tube insertion, care medication administration and

removal • Lavage/Gavage • Tracheostomy care and suctioning • Blood pressure skills • IV care and management • Subcutaneous and intramuscular injection • Oxygen delivery procedures • Ostomy irrigation and care • Catheterization skills • Enema simulation • Colonic irrigation • Wound assessment and care • Bandaging and dressing • Auscultation and recognition of normal and abnormal

heart, breath and bowel sounds

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Insewhe

Teeth – To remove: Grasp firmly and lift. To reinsert both sets: a. Begin on one side and work around, aligning ridges with corresponding grooves in jaws. (Dusting with baby powder

Photo 1

is helpful.) (Photo 1) b. Press firmly into place. Carotid Pulse – To generate a carotid pulse, use the hand held red bulb located on the right axillary side of manikin. Firmly squeeze bulb while palpating for pulse at carotid site. Tracheostomy Plug – The Tracheostomy plug may be removed by grasping firmly, then lifting up and out. To replace, press into hole.

Re

We recotracheoOpeningother siusually m

Tracheostomy Care – 1. Mix solution of ½ cup mild

liquid detergent and ½ cup water.

2. Remove lungs and trachea. 3. Pour mixture into simulated lungs. 4. Fill lungs to a level where suction catheter will pick up mixture. 5. Reattach lungs at connector. The consistency of the solution approximates the normally suctioned in a tracheostomy patient. Drain and air-dry lungs immediately after e Be careful not to introduce fluids into speaker ports orelectronics in manikin’s chest.

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Laerdal commends:

mmend a size 6 stomy tube. will accommodate

zes, but a size 6 is ost suitable.

Laerdal Recommends:

rt and remove bottom teeth first n performing denture care.

mucus

ach use.

near

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Laerdal Recommends:

For best results, lubricate the tube with either manikin lubricant or liquid detergent prior to NG or OG tube insertion.

NG Tube Placement – This manikin features an esophagus and stomach reservoir for practice of NG tube insertion and skills such as Lavage and Gavage. Intubation – The following equipment is recommended:

a. Endotracheal tube, size 7.5 ID or smaller b. Manikin Lubricant spray or liquid soap c. 10 ml syringe d. Laryngoscope blade, size #2 or #3 straight or curved e. Laryngoscope handle f. NG Tube, size 16 French

Remove trach plug prior to insertion of intubation tubes.

Laerdal Recommends:

Intubation tubes and airway passages should be sprayed with manikin lubricant spray or lubricated with liquid soap prior to intubation.

Chest Plate – To remove: 1. Apply pressure to center of plate. 2. Work your fingers under edge of plate while lifting. To insert: 1. Position plate over cavity. 2. Work plate edges into groove on torso cavity. Lungs – Lungs may be removed from bronchial tubes by unscrewing them at the connector site. To replace, reverse procedure. Stomach Reservoir – The stomach reservoir attaches to esophagus with a connector. Unscrew reservoir from esophagus to fill or drain with water.

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Belly Plate with Multi-Sounds – To remove:

Laerdal Recommends:

Dusting with talcum powder is helpful in replacing belly plates.

1. Apply pressure to center of plate. 2. Work your fingers under edge of

plate while lifting. 3. Disconnect bowel sound speaker

connector to release plate. To insert: 1. Position plate over cavity. 2. Reconnect bowel sound speaker. 3. Work plate edges into groove on pelvis cavity. Belly Plate with Colostomy Stoma – To remove: 1. Apply pressure to center of plate. 2. Work fingers under edge while lifting.

(Photo 2) To insert: 1. Attach valve and genitalia. 2. Work plate edges into pelvis cavity.

Photo 2

The belly plate with colostomy also serves areservoir.

Laerd

Make sureconnectorfilling.

To fill reservoir: a. Remove colostomy stoma. b. Fill with fluid. c. Gently reinsert stoma. Injection Pads –

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Dusting pwill assist

a. To remove, squeeze pad with fingers and pull.

b. To replace, squeeze pad and insert in opening.

Injection pads may be injected with water. Foremoved from pads immediately following trout fluid and air dry.

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s the urinary

al Recommends:

genitalia and urinary s are in place prior to

al Recommends:

ads with talcum powder with reinsertion.

am should be aining. Squeeze

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Waist, Knee and Ankle

Wsa

Joints – These joints are connected with a bolt and lock nut. To remove, unscrew lock nut and pull bolt from joint. Segments will now easily disconnect. Arms – Arms are attached with a 4 ½” long bolt, three washers, a spring and a wing nut. To attach: 1. Remove chest plate. 2. Locate hole in shoulder. 3. Remove deltoid injection pad from arm by squeezing skin in

center of pad while pulling. 4. Slide small washer over bolt. 5. Insert bolt through hole in

arm and hole in manikin’s shoulde6. Add large washer, spring, another

nut to bolt. (Figure 1) 7. Use a screwdriver to hold bolt st

nut. 8. Reinsert chest plate and deltoid p

To remove arms, reverse procedure.

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Laerdal Recommends:

hen assembled, talcum powder hould be used in joints to assist rticulation.

Attachment hardware is located in envelope inside carton.

r. large washer and wing

eady while tightening wing

Fig. 1

ad.

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Attachment hardware is located in envelope inside carton.

Legs – Legs are attached with a 6” long bolt, a spring, a large washer, a small washer and a wing nut. To attach: 1. Remove belly plate from manikin to locate hole in hip. 2. Remove thigh injection pad from leg by squeezing skin in

center of pad while pulling. 3. Slide spring and small washer over bolt. 4. Insert bolt through hole in thigh. 5. Insert bolt through hole in pelvis. 6. Slide large washer and wing nut over bolt. 7. Use screwdriver to hold bolt while tightening wing nut.

(Figure 2)

Fig. 2

To remove legs, reverse procedure. IV Arm –

Areth Wluea

Multiple Venipuncture sites: • Dorsal Veins of Hand (3) • Antecubital

Cephalic Vein Median Vein Basilic Vein

Directions for Use: 1. Attach IV bag to IV tubing. 2. Attach IV tubing to either latex vein. 2. Allow fluid to flow through arm and out 3. Clamp off flow of water from open vein. The arm is now ready to practice venipunct

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Laerdal Recommends:

20 gauge needle or smaller is commended to extend the life of e IV Arm.

hen using an IV catheter, bricate with manikin lubricant for sier insertion.

other latex vein.

ure.

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When excessive vein system or sk We recommendvein system.

Replacing SkiRemove skin: If replacing skin anThis can be done scalpel or scissorsfinished, discard sk

Replacing vei1. Lubricat

liquid dedown in

2. Begin atpull skinDo notcause swill deta

3. Removemandrescraped

4. Rinse analcohol.

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Laerdal Recommends:

leaking occurs at puncture sites, either a new in should be installed to reduce loss of fluid.

working at a sink when replacing the skin and

n and Veins:

d veins, cut off skin. with a sharp knife, . (Figure 3) When in.

ns: (Keeping skin) e inside of skin with tergent; let it flow to the finger area. top of arm and slowly down and off of arm. roll, as that will kin to bind. Thumb ch with skin.

Fig. 3

tubing from track in l. Glue may need to be away to allow removal. d dry vein grooves well and swab with Be sure to remove any excess glue.

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5. Place new veins along grooves, (Figures 4 & 5) spot gluing as needed. (We recommend a fast-drying glue.)

Fig. 5Fig. 4

6. Generously lather arm mandrel with liquid soap.

Laerdal Recommends

Heat arms skins before replacing on mandrel. This can be done with a blow-dryer.

7. Slide hand into skin. (Photo 3)

Photo 3

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8. Work skin over fingers, as with a glove. (Photo 4)

Bloo

1.2. 3.

D

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9. Work arm skin up, over mandrel. (Photos 5 & 6)

Photo 4

Photo 5

d Pressure Arm – Place Blood Pressure Cuff on ar Attach tubing on cuff to clear tu

located underneath PhoNursing Kelly’s arm.

(Photo 7) See VitalSim DFU for comp

Blood Pressure operating p

Laerdal Recom

o not insert needles into blood

001 14

m. be,

to 7

lete roced

mend

pressu

Photo 6

u

s

r

res.

:

e arm.

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Auscultation of Heart, Breath and Bowel Sounds –

1. Connect Nursing Kelly to VitalSim Unit, via cable located on back of manikin. (Photo 8)

2. See VitalSim DFU for complete Heart, Breath and Bowel Sound Auscultation.

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Photo 8

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Genitalia: Both male and female genitalia have been provided for urinary catheterization and enema training procedures. Tube-like valves, with a screw cap on one end, connect urethra and anus to corresponding reservoirs. This cap must be connected to genitalia openings. Soft vinyl end of connector is attached to urinary and anal reservoirs with a white clamp. (Long valve connects urinary reservoir; short valve connects anal reservoir.) Pelvic support pin must be removed and replaced immediately when assembling and disassembling genitalia. (Figure 6)

Fig. 6

To disassemble: 1. Lift up on belly plate. 2. Pull upper portion of genitalia back to re

support pin. 3. Belly plate, genitalia with connectors, and

may now be removed simultaneously.

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Laerdal Recommends Pelvic support pin must be replaced. Failure to replace pin will result in pelvic spread. If this occurs, the genitalia module will no longer fit properly in the manikin.

move pelvic

colon reservoir

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To assemble: (Photos 9, 10 & 11) 1. Screw both valves onto genitalia. When attaching valves, be

sure alignment of genitalia, urinary reservoir (belly plate) and colon reservoir are as illustrated in Figure 7.

2. Lift up on edge of belly plate. 3. Pull down upper portion of genital. 4. Insert into pelvic cavity. 5. Replace the pelvic support pin. 6. Press belly plate into position.

Fig. 7

Photo 9

Slide tube to meet ridge on connector.

Apply clamp and squeeze to tighten.

Photo 11

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Photo 10

Area where clamp is placed.

Long valve connects urinary reservoir; shortvalve connects anal reservoir.

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Colon Reservoir – Colon reservoir inserts into pelvic cavity with narrow end downward and connector pointing outward. This connector attaches reservoir to anal valve on genitalia. (Photo 12) Reservoir should be removed from manikin, inverted, drained and completely air-dried before storing. Urinary Catheterization andSimulation –

After se“hang” away luand bingenerouand insetimes.

Laerdal Recommends:

Catheters should be well lubricated with manikin lubricant or full strength liquid soap prior to using.

If catheter hangs during removal, wormotion. Use warm water in reservoirsoap from clogging the catheters. Mawell drained of all water before disco

CheckThat Ma. Do v

haveb. Doe

firmlc. Are d. If va

corrconngenit

Laerdal Recommends:

A size 16 French catheter is suggested for urethral catheterization. Size 7mm catheter is suggested for enema simulation.

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Photo 12

Enema

veral uses, catheter may when water has washed bricant, causing friction ding. If this occurs, sly lubricate a catheter rt into urethra several

k it with an “in and out” s when possible to keep

ke sure reservoirs are nnecting valves.

List for Valves ay Leak: alve connections an O-ring? s the white clamp fit y against base of valve? valves attached correctly? lves are attached ectly, are they properly ected to reservoirs and to alia?

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Troubleshooting – What can I do if my manikin develops a pelvic spread? Cinch pelvis with a belt and heat with a hair dryer to soften, cinching as you heat. Insert pin, leaving belt in place until cool. What do I do if my connectors leak? Make sure C-clamps are squeezed tightly into place and connectors are screwed on tightly. What can I do if I can’t remove my catheter? Make sure the cuff is deflated. VitalSim™ Connection See Vital DFU for complete connection and operating procedures.

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Laerdal

Care and Maintenance 1. Clean with mild soap and water; do not submerse manikin

or parts in cleaning fluids or water. Apply a light coat of talcum powder to the face and chest skin to achieve skin-like feeling.

2. Use only on clean surface. Avoid felt tipped markers, ink pens, acetone, iodine or other staining products and avoid placing the manikin on newsprint or inked lines of any kind.

3. To ensure longevity, each manikin should be cleaned after each training session and a general inspection should be conducted regularly.

4. Modules and all other parts should be drained and air-dried thoroughly before storage and disinfected when needed. After use of injection pads (use water only), accumulated water should be squeezed out. Do not store wet foam pads in the skin. To prevent mildew or mold, pads can be soaked in a mild solution of disinfectant and water or bleach and water. Squeeze excess solution from pads, allow them to dry, then store or reinsert in manikin.

5. Articulating parts will benefit from a light application of talcum powder prior to training sessions.

6. Store properly between teaching sessions. Warranty Laerdal Medical warrants to the purchaser that its products are free from defects in material and workmanship for a period of one (1) year from the date of purchase by the original user. During the designated one (1) year period, Laerdal Medical will, upon receipt of a product found to be defective due to materials or workmanship from the purchaser and notification in writing of the defect, at its option repair or replace any parts found to be defective or the entire product. Warranty period does not renew with replacement or repair of original product. Products found to be defective and notification of defects may also be sent to the authorized Laerdal Medical dealer from whom the product was purchased. All postage, shipping or handling charges shall be the sole responsibility of the purchaser. Laerdal Medical is responsible for the effects of safety, reliability and performance of its product(s) only if:

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– service, repair, readjustment or modification is carried out by Laerdal Medical or persons authorized by Laerdal Medical.

– the electrical installation of the room where the product is used complies with pertinent equipment requirements.

– the product is used in the proper manner in strict compliance with its Directions for Use.

Laerdal Medical shall not be liable under this warranty for incidental or consequential damages, or in the event any unauthorized repairs or modifications have been made or attempted, or when the product, or any part thereof, has been damaged by accident, misuse or abuse. This warranty does not cover batteries, fuses, normal wear and tear, excessive use, staining, discoloration or other cosmetic irregularity which does not impede or degrade product performance. Some states in the USA do not allow the exclusion or limitation of incidental or consequential damages, so those limitations or exclusions may not apply to you. There are no other express or implied warranties, whether of merchantability, fitness or purpose, or otherwise, on the product, its parts and accessories.

Cautions and Warnings This product contains Natural Rubber latex which may cause allergic reactions when in contact with humans.

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REPLACEMENT PARTS: Product Number: Description: 312029 Kit, Skin/Vein Adult Multi-Venous IV Arm 380200 Arm Assembly, Blood Pressure 380460 Genitalia, Blank-Adult Male 380471 Plug, Belly plate-Adult 380475 Pin, Pelvis 380600 Leg Assembly, Left Adult 380650 Leg Assembly, Right Adult 380700 Arm, Male Multi-Venous IV Training 380800 Arm Assembly, Left Plain Adult 380801 Hand, Left Adult Male 381401 Arm, Upper Right Adult Male 381402 Pad Assembly, Deltoid Injection Adult 381403 Stoma, Infected Colostomy 381404 Stump, Left Lower Leg 381410 Foot, Diabetic Right Adult 381411 Pad, Thigh Packing Adult 381412 Pad, Thigh Sutured Adult 381413 Leg, Varicose Lower Right Adult 381414 Pad, Gluteal Ulcerated Adult Male 381415 Pad, Ventro-Gluteal Ulcerated Adult Male 381416 Hand, Lacerated w/Forearm Adult Male 381417 Pad, Thigh Debridement Adult 200-00550 Cuff Assembly, Blood Pressure VitalSim 300-00150 Pad Assembly, Thigh Injection Adult

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300-00250 Pad Assembly, Ventral Gluteal Injection Adult Male 300-00350 Pad Assembly, Gluteal Injection Adult Male 300-00450 Valve/Clamp Set, Anal Hosp Urin/Anal CVK 300-00550 Valve/Clamp Set, Urinary Hosp Adult 300-00650 Lubricant, Manikin-4 oz Bottle W/Sprayer 300-00750 Blood, Simulated-4 oz Red 300-00850 Plug, Tracheostomy 300-00950 Denture Set, Upper/Lower Adult 300-01050 Wound Set, Care and Assessment Adult Male 300-01150 Head Assembly, VitalSim W/Trach Plug Adult Male 300-01350 Reservoir Assembly, Stomach-Hosp Adult Male 300-01550 Lung Bag Assembly 300-01650 Chest plate Assembly, VitalSim Hosp Adult Male 300-01750 Stump, Right Forearm Adult Male 300-01850 Teeth, Upper-Adult 300-01950 Teeth, Lower-Adult 300-02050 Belly plate Assembly, Hosp w/Speakers Adult 300-02150 Belly plate Assembly, Hosp 3 Hole Adult 300-02250 Reservoir Assembly, Colon Hosp Adult 300-02350 Forearm, Right Adult Male 300-02450 Pad, Forearm Right Non-Injection Adult Male 300-02550 Hand, Right Adult Male 300-02650 Arm, Upper Left Adult Male

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300-02750 Forearm, Left Adult Male 300-02850 Pad, Forearm Left Non- Injection Adult Male 300-02950 Thigh, Right Adult 300-03050 Leg, Lower Right Adult 300-03150 Foot, Right Adult 300-03250 Thigh, Left Adult 300-03350 Leg, Lower Left Adult 300-03450 Foot, Left Adult 300-03550 Belly plate, Packing Adult 300-03650 Belly plate Sutured Adult 300-03750 Chest plate Sutured Adult 300-03850 Genitalia Assembly, Adult Male 300-03950 Genitalia Assembly, Adult Female 300-04050 Pad Assembly, Right Forearm IV 300-04150 Pad Assembly, Left Forearm IV 300-04250 Hardware Set, Adult Manikin-Legs/Arms to Body 300-04350 Hardware Set, Adult Manikin-Pelvis/Torso 300-04450 Plug, Arm Adult 300-04550 Belly plate Assembly, Suture/Drain Hosp Adult 300-04650 Belly plate Assembly, Staple/Drain Hosp Adult 300-04750 Belly plate, Abdominal Injection Hosp Adult 300-04850 Gown, Hospital-Back Tie 300-04950 Stoma, Soft Style W/Thru Hole

300-05150 Arm Assembly, Left Plain Adult

Please contact Customer Service Representatives for more information on Replacement Parts in other skin tones.

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(C) Copyright Medical Plastics Laboratory, Inc., Gatesville TX Document #1005300 rev. B

April 23, 2003

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Norway: LAERDAL MEDICAL AS P.O. Box 377, N-4002 Stavanger Tel. +47 51 51 17 00, Fax +47 51 52 35 57 E-mail: laerdal.norway@laerdal.no Australia: LAERDAL Pty. Ltd. (ABN 47 003 817 490) 23 Edward Street, Oakleigh, Victoria 3166 Tel. +61 3 9569 4055, Toll free 1800 331 565 Fax +61 3 9569 4028, Toll free 1800 635 835 E-mail: customer.service@laerdal.com.au Benelux: "The Laerdal BeNeLux House" Dijkstraat 54, NL-5554 PS VALKENSWAARD Tel. +31 40 208 58 00, Fax +31 40 208 58 02 E-mail: laerdal.benelux@laerdal.nl Benelux: Belgium and Luxembourg LAERDAL BeNeLux NV Mechelsesteenweg 277, B-1800 VILVOORDE Tel. +32 2 253 36 96, Fax +32 2 253 36 90 E-Mail: info@laerdal.be Canada and Latin America: LAERDAL MEDICAL CANADA LTD. 151 Nashdene Rd., Unit #45 Toronto, ON, Canada, M1V 4C3 Tel. +1 (416) 298-9600, Toll free 888/LAERDAL (523-7325) ou en français (800) 567-9987 Fax +1 (416) 298-8016 E-mail: savelives@laerdal.ca Denmark: LAERDAL DANMARK Postbox 225, DK-8600 Silkeborg Tel. +45 80 333 112, Fax +45 80 333 555 E-mail: laerdal.denmark@laerdal.no Eastern Europe: LAERDAL C.E. EUROPE A-1060 Vienna, Mariahilferstr. 1d/1/3 Tel - Fax +43 15877140, Tel. +43 15815927 E-mail: mstam@aon.at Far East: LAERDAL Singapore Pte Ltd No 1 Marine Parade Central #13-05, Parkway Centre Singapore 449408 Tel. +65 63464259, Fax +65 63467523 E-mail: admin@laerdal.com.sg Finland: LAERDAL OY Vattuniemenranta 2, 00210 HELSINKI Puhelin +358 (0)9-612 99 80, Telekopio +358 (0)9-692 77 99 E-mail: laerdal.finland@laerdal.no France: LAERDAL MEDICAL FRANCE 1 rue des Vergers - Bâtiment n° 5 - 69578 Limonest Cedex Tél. +33 (0)4 72 52 02 52, Fax +33 (0)4 78 35 38 45 E-mail: laerdal.france@laerdal.no Germany: LAERDAL MEDICAL DEUTCHLAND GmbH Am Loferfeld 56, 81249 München Tel. +49 (0)89 / 864 954-0, Fax +49 (0)89 / 864 34 84 E-mail: info@laerdal.de

Italy: LAERDAL ITALIA s.r.l. Via Piero Gobetti 52/2 int.Z, 40129 Bologna Tel. +39 051-355587, Fax +39 051-355598 E-mail: laerdal.italia@laerdal.no. Japan: LAERDAL MEDICAL JAPAN K..K.. Shinjuku IS Bldg.. 8F 2-13-12, Shinjuku, Shinjuku-ku, Tokyo 160-0022 Tel. 81-3-5919-2121, Fax: 81-3-5919-2122 E-mail: laerdal.japan@laerdal.co.jp Malaysia: LAERDAL HOSPILINE Sdn Bhd 12 Jalan Titir 33/25, Section 33, Shah Alam Technology Park, 40400 Shah Alam, Selangor Darul Ehsan, Tel +60 (3) 5122-7002, Fax +60 (3) 5122-5650 E-mail: customer.service@Laerdal.com.my New Zealand: LAERDAL NEW ZEALAND Ltd (GST Number 79-403-636) PO Box 302664, North Harbour, Auckland 1330 Tel. +61 3 9564 4066, Toll free 0800 523 732 Fax +61 3 9563 3368, Toll free 0800 528 852 E-mail: customer.service@laerdal.co.nz Portugal: LAERDAL ESPANA, Sucursal em Portugal Rua da Bela Vista à Graca, no.31 A. Escritorio 9, 1170-054 Lisboa Tel. (+351)-21-816-6567, Fax (+351)-21-816-6568, Mob. (+351)-918765367 Spain: LAERDAL ESPANA, S.L. Manuel Tovar 19, 28034 Madrid Tel. (+34) 902-291110, Fax (+34) (91)-7291125 E-mail: laerdal.spain@laerdal.no Sweden: LAERDAL MEDICAL AB Box 2064, Paviljongvägen 3-5, 132 02 Saltsjö-Boo Tel. +46 (0)8-55614610, Fax +46 (0)8-55614619 E-mail: Laerdal.sweden@laerdal.se United Kingdom: LAERDAL MEDICAL LTD. Laerdal House, Goodmead Road, Orpington, Kent BR6 0HX Tel. +44 (0)1689 876634, Fax +44 (0)1689 873800 E-mail: customer.service@laerdal.co.uk USA LAERDAL MEDICAL CORPORATION 167 Myers Corners Road, P.O. Box 1840 Wappingers Falls, New York 12590-8840 Tel. (800) 431-1055, +1 (845) 297-7770 Fax (800) 227-1143, +1 (845) 298-4545 E-mail: customerservice@laerdal.com LAERDAL TEXAS P.O. Box 38, 226 FM 116 South Gatesville, Texas 76528-0038 Tel. (800) 433-5539, (254) 865-7221 Telefax (254) 865-8011 E-mail: services@mpltx.com

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